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WENDE W. YOUNG NPI 1194753749


NPI Information

NPI: 1194753749
Provider Name: WENDE W. YOUNG

Doing Business As: ELIZABETH WENDE BREAST CLINIC

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 33D1101618

Address:
170 SAWGRASS DR
ROCHESTER, NY
ZIP 14620
Phone: (585) 442-2190
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WENDE W. YOUNG is a diagnostic radiology radiology in Rochester, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. WENDE W. YOUNG NPI is 1194753749. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Elizabeth Wende Breast Clinic.

The provider's business location address is:

170 SAWGRASS DR
ROCHESTER, NY
ZIP 14620-648
Phone: (585) 442-2190
Fax: (585) 442-1837

The provider's authorized official is Wende W Young .
The authorized official title is Owner and has the following contact phone number (585) 442-2190.

The CLIA number assigned to this NPI record is 33D1101618 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 3/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
111107AMEDICARE PINNEW YORK
202711806MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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